Babies require general anesthesia whether they are having a floating bunion preservation surgery or a polydactyly or syndactyly. There are two main reasons why general anesthesia is needed for hand and foot deformity surgery for babies, one is that the surgery is very delicate. The baby’s hand is very small, the corresponding blood vessels, nerves are also very small, in the process of surgery we hope that the baby is in a very quiet state, do not move, if we do not do general anesthesia to do local anesthesia, we may be doing fine operation, but the baby moved, which will be very unsafe. Secondly, if we do local anesthesia, the baby’s feelings are also not good, will keep crying, keep struggling, which is a very big impact on the baby’s whole body. Many mothers and fathers think of general anesthesia as particularly scary, but in fact, general anesthesia is not as scary as you think. When we do the operation, the first is sedation, let the baby fall asleep, in a quiet state, analgesic drugs are given locally, for example, we do the parallel finger division, on the back of the palm of the hand to give the baby some local long-acting anesthetic, the baby in the operation and the postoperative feelings are good. General anesthesia is currently an effective and safer method for children. From our doctor’s point of view, we are also more willing to do general anesthesia for a long operation. Not long ago a mother asked me whether general anesthesia will make the baby stupid, surgical anesthesia will make the baby stupid this is no scientific evidence, so far we have not seen such reports. Then general anesthesia in what circumstances will have an effect on the baby? If the anesthesia is repeated several times for a long time, the operation time is more than three hours, the number of operations is more than three or four times, a very small part of the baby will have dyslexia, in addition to the fine motor may be affected to a certain extent, but the baby’s intellectual and physical development will not be affected.